FOIPPA - Consent for use of location
The information requested on this form is collected and protected under the authority of Peak Adventure Canada and the Freedom of Information and Protection of Privacy Act (FOIPPA), for the purpose of managing the use and authorization of location information. Questions can be directed to info@peakadventure.ca.

We may use what you have agreed to consent on our website, social media accounts, or in projects and client work unless otherwise specified.
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Email *
Full Name *
Location or Company Name *
Phone Number
Mailing Address
I authorize Peak Adventure to use the following text, video, photo, audio and/or other media of: *
The building and/or company name, location information, internal or external artwork (non-attributed), layout, or design, and social media links for promotional, marketing, informational, or educational purposes. We want to ensure your privacy is protected, so if there is any part of your personal information you wish NOT to share, please choose Other to list the specific media you agree to authorize (i.e. Other: everything except the coffee room).
I agree and resume responsibility of the FOIPPA for any members of the public at this location during filming.
 *
This location, building, or establishment is subject to the principles outlined in the Freedom of Information Act and location release for filming. As such, it accommodates members of the public, and by entering this space during filming, individuals are acknowledged as members of the public. By virtue of being in a public space, they inherently consent to the potential use of their image in the context of the filming taking place.
Date signed *
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Electronic Signature Agreement
By submitting this form, you agree to sharing this information with Peak Adventure Canada and their use of your personal information and image based on the answers given. You agree that all of this information is true to the best of your knowledge.
A copy of your responses will be emailed to the address you provided.
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